Abstract
Objective: To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures. Methods: Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network. Results: 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Yearly practice was recommended for six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal intubation, laryngeal mask airway insertion, defibrillation/direct current (DC) cardioversion and intraosseous needle insertion) by at least 80% of respondents. 16 procedures were recommended for yearly practice by at least 50% of respondents. Two procedures (venous cutdown and ED thoracotomy) had yearly practice recommended by <40% of respondents. Simulation was the preferred learning modality for CPR, bag valve mask ventilation, DC cardioversion and transcutaneous pacing. Practice in alternative clinical settings (eg, the operating room) was the preferred learning modality for endotracheal intubation and laryngeal mask insertion. Use of models/mannequins for isolated procedural training was the preferred learning modality for all other invasive procedures. Free-text responses suggested the utility of cadaver labs and animal labs for more invasive procedures (thoracotomy, intercostal catheter insertion, open surgical airways, venous cutdown and pericardiocentesis). Conclusions: Paediatric ED clinicians suggest that most paediatric critical procedures should be practised at least annually. The preferred learning modality depends on the skill practised; alternative clinical settings are thought to be most useful for standard airway manoeuvres, while simulation-based experiential learning is applicable for most other procedures.
| Original language | English |
|---|---|
| Number of pages | 8 |
| Journal | Emergency Medicine Journal |
| DOIs | |
| Publication status | Accepted/In press - 1 Jan 2018 |
Keywords
- education
- paediatric resuscitation
- paediatrics, paediatric emergency medicine
Cite this
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Preferred learning modalities and practice for critical skills : A global survey of paediatric emergency medicine clinicians. / Craig, Simon S.; Auerbach, Marc; Cheek, John Alexander; Babl, Franz E.; Oakley, Ed; Nguyen, Lucia; Rao, Arjun; Dalton, Sarah; Lyttle, Mark D.; Mintegi, Santiago; Nagler, Joshua; Mistry, Rakesh D.; Dixon, Andrew; Rino, Pedro; Kohn-Loncarica, Guillermo; Dalziel, Stuart R.
In: Emergency Medicine Journal, 01.01.2018.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Preferred learning modalities and practice for critical skills
T2 - A global survey of paediatric emergency medicine clinicians
AU - Craig, Simon S.
AU - Auerbach, Marc
AU - Cheek, John Alexander
AU - Babl, Franz E.
AU - Oakley, Ed
AU - Nguyen, Lucia
AU - Rao, Arjun
AU - Dalton, Sarah
AU - Lyttle, Mark D.
AU - Mintegi, Santiago
AU - Nagler, Joshua
AU - Mistry, Rakesh D.
AU - Dixon, Andrew
AU - Rino, Pedro
AU - Kohn-Loncarica, Guillermo
AU - Dalziel, Stuart R.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Objective: To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures. Methods: Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network. Results: 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Yearly practice was recommended for six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal intubation, laryngeal mask airway insertion, defibrillation/direct current (DC) cardioversion and intraosseous needle insertion) by at least 80% of respondents. 16 procedures were recommended for yearly practice by at least 50% of respondents. Two procedures (venous cutdown and ED thoracotomy) had yearly practice recommended by <40% of respondents. Simulation was the preferred learning modality for CPR, bag valve mask ventilation, DC cardioversion and transcutaneous pacing. Practice in alternative clinical settings (eg, the operating room) was the preferred learning modality for endotracheal intubation and laryngeal mask insertion. Use of models/mannequins for isolated procedural training was the preferred learning modality for all other invasive procedures. Free-text responses suggested the utility of cadaver labs and animal labs for more invasive procedures (thoracotomy, intercostal catheter insertion, open surgical airways, venous cutdown and pericardiocentesis). Conclusions: Paediatric ED clinicians suggest that most paediatric critical procedures should be practised at least annually. The preferred learning modality depends on the skill practised; alternative clinical settings are thought to be most useful for standard airway manoeuvres, while simulation-based experiential learning is applicable for most other procedures.
AB - Objective: To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures. Methods: Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network. Results: 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Yearly practice was recommended for six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal intubation, laryngeal mask airway insertion, defibrillation/direct current (DC) cardioversion and intraosseous needle insertion) by at least 80% of respondents. 16 procedures were recommended for yearly practice by at least 50% of respondents. Two procedures (venous cutdown and ED thoracotomy) had yearly practice recommended by <40% of respondents. Simulation was the preferred learning modality for CPR, bag valve mask ventilation, DC cardioversion and transcutaneous pacing. Practice in alternative clinical settings (eg, the operating room) was the preferred learning modality for endotracheal intubation and laryngeal mask insertion. Use of models/mannequins for isolated procedural training was the preferred learning modality for all other invasive procedures. Free-text responses suggested the utility of cadaver labs and animal labs for more invasive procedures (thoracotomy, intercostal catheter insertion, open surgical airways, venous cutdown and pericardiocentesis). Conclusions: Paediatric ED clinicians suggest that most paediatric critical procedures should be practised at least annually. The preferred learning modality depends on the skill practised; alternative clinical settings are thought to be most useful for standard airway manoeuvres, while simulation-based experiential learning is applicable for most other procedures.
KW - education
KW - paediatric resuscitation
KW - paediatrics, paediatric emergency medicine
UR - http://www.scopus.com/inward/record.url?scp=85055046568&partnerID=8YFLogxK
U2 - 10.1136/emermed-2017-207384
DO - 10.1136/emermed-2017-207384
M3 - Article
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
SN - 1472-0205
ER -